Individual provider Active NPI

Sharon Diane Courtley, P.T.

  • Orthopedic Physical Therapist
  • Sterling Heights, MI
National Provider Identifier
1194849745
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
5501003116 Issued in MI
Practice address
44300 Dequindre Rd
East Campus - PT
Sterling Heights, MI 48314-1003
Phone
(248) 964-0211
Fax
(248) 964-0220
NPI assigned
Mar 19, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 5501003116 MI Primary

Addresses

Primary practice location

44300 Dequindre Rd
East Campus - PT
Sterling Heights, MI 48314-1003

Mailing address

578 Oakbridge Dr
Rochester, MI 48306-4634
Phone (248) 601-3546

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
5501003116MIMDOrthopedic Physical Therapist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1194849745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "578 OAKBRIDGE DR",
            "city": "ROCHESTER",
            "state": "MI",
            "postal_code": "483064634",
            "telephone_number": "248-601-3546",
            "fax_number": "248-964-0220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44300 DEQUINDRE RD",
            "address_2": "EAST CAMPUS - PT",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483141003",
            "telephone_number": "248-964-0211",
            "fax_number": "248-964-0220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COURTLEY",
        "first_name": "SHARON",
        "middle_name": "DIANE",
        "name_prefix": "Mrs.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "MI",
            "license": "5501003116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sterling Heights, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.